NPIMap

Organization Active NPI

Eye Lab Optician PC

  • Optician
  • Kew Gardens, NY
National Provider Identifier
1881086015
Registry record updated Oct 12, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
OpticianTaxonomy code 156FX1800X
License
6538-1 Issued in NY
Legal business name
EYE LAB OPTICIAN PC
Practice address
8113 Lefferts Blvd
Kew Gardens, NY 11415-1727
Phone
(718) 849-0847
Fax
(718) 849-0864
NPI assigned
Feb 25, 2015
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 12, 2023

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Bahur Yacobov, OPTICIANNPI 1629337167
Title
Owner
Phone
(718) 849-0847

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
OpticianGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 156FX1800X 6538-1 NY Primary

Addresses

Primary practice location

8113 Lefferts Blvd
Kew Gardens, NY 11415-1727

Mailing address

8113 Lefferts Blvd
Kew Gardens, NY 11415-1727
Phone (718) 849-0847

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1424822400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1697068800000",
    "number": "1881086015",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8113 LEFFERTS BLVD",
            "city": "KEW GARDENS",
            "state": "NY",
            "postal_code": "114151727",
            "telephone_number": "718-849-0847",
            "fax_number": "718-849-0864"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8113 LEFFERTS BLVD",
            "city": "KEW GARDENS",
            "state": "NY",
            "postal_code": "114151727",
            "telephone_number": "718-849-0847",
            "fax_number": "718-849-0864"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EYE LAB OPTICIAN PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-02-25",
        "last_updated": "2023-10-12",
        "status": "A",
        "authorized_official_last_name": "YACOBOV",
        "authorized_official_first_name": "BAHUR",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "718-849-0847",
        "authorized_official_credential": "OPTICIAN"
    },
    "taxonomies": [
        {
            "code": "156FX1800X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Technician/Technologist, Optician",
            "state": "NY",
            "license": "6538-1",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Kew Gardens, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 12, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.